Individual
DR. STEPHEN L ROTHBLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1655 SPRING ROAD, SMYRNA, GA 30080
(678) 842-9544
(678) 842-9291
Mailing address
1655 SPRING RD SE, SMYRNA, GA 30080-3774
(678) 842-9544
(678) 842-9291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1090
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100781
—
GA
01
—
205228732
CIGNA
GA
01
—
205228732
PHCS
GU
01
—
901090
EYEMED
GA
Enumeration date
06/01/2005
Last updated
05/12/2026
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